Comparison between Volar Plating and External Fixation in Distal Radial Fractures

Abstract

Background: Distal radius fractures are of the most prevalent fractures in middle-aged and elderly people, so such fractures are an important concern, Aim: The aim of this study is to compare the functional outcome in patients with distal radial fractures especially comminuted type in internal fixation by volar plate or external fixators, regarding restoring hand function and reducing complication rate, and early returning to work. Methods: In the period between April 2022 and November 2022, a prospective comparative study was conducted involving 30 patients with distal radial fractures. Participants were numbered from 1 to 30 and categorized in 2 groups, each containing 15 patients with ID numbering: Group (A): Odd numbers=Open Reduction and Internal Fixation by volar plate. Group (B): Even numbers=External Fixation augmented by K-wires. Results: Patients treated with external fixation augmented by k-wires has union time range (5-10 weeks) while patients treated with volar plating has union time range (5-8 weeks). There was no statistically clinical significance between two groups (p= 0.324).  conclusion: Both volar plating and external fixation augmented by k wires represent treatment choices for distal radius fractures. Whereas external fixation maintains a significant role in the treatment of distal radius fractures, ORIF with locked volar plating has changed the way many surgeons treat certain types of distal radius fractures.